| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
680 |
680 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
404 |
404 |
$3K |
| V2020 |
Frames, purchases |
403 |
403 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
85 |
85 |
$3K |
| 92015 |
Determination of refractive state |
775 |
775 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$70.88 |